Research in Community and Public Health Nursing

Original Articles

Effects of Aromatherapy on Agitation in Patients with Dementia: A Systematic Literature Review and Meta-analysis: Eun Kyung Kim, Hee Ok Park, Chun Hee Lee, Eun Sil Park; J Korean Acad Community Health Nurs. 2019;30(2):183-194. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.183

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PURPOSE
The purpose of this study is to identify the effects of aromatherapy on agitation in patients with dementia using a meta-analysis and systemic literature review.
METHODS
The EMBASE, CINAHL, MEDLINE, and other databases were searched up to November 2017.
RESULTS
Of 419 publications identified, 12 met inclusion criteria, and 9 studies were used to estimate the effect size of aromatherapy. A total of 837 participants across all studies were included. The commonly applied methods were massage (50%), type of oil lavender (75%), and instrument Cohen-Mansfield Agitation Inventory (75%). A medium effect size of aromatherapy on agitation was identified (d=âˆ’0.56, I2=65.0%, p=.001). The massage group has lower effect size than the other group (d=âˆ’0.98, I2=0.0%, p=.001).
CONCLUSION
Aromatherapy appears to be effective in improving agitation in patients with dementia. However, further studies for home-dwelling patients with dementia and with different types of aroma oil should be conducted in the future. In addition, research with well-designed are needed to assess the effects or aromatherapy on agitation.

Citations

Citations to this article as recorded by

The impact of aromatherapy-based oral care on oral conditions, salivary pH, and halitosis in older adults with dementia: Pilot study
Ae Kyung Chang, Bo kyoung Kim, Ah Young Kim
Geriatric Nursing.2023; 53: 109. CrossRef
Olfactory stimulation for people with dementia: A rapid review
Federica D’Andrea, Victoria Tischler, Tom Dening, Anne Churchill
Dementia.2022; 21(5): 1800. CrossRef
Cinnamomum verum J. Presl. Bark essential oil: in vitro investigation of anti-cholinesterase, anti-BACE1, and neuroprotective activity
Mina Saeedi, Aida Iraji, Yasaman Vahedi-Mazdabadi, Atiyeh Alizadeh, Najmeh Edraki, Omidreza Firuzi, Mahdieh Eftekhari, Tahmineh Akbarzadeh
BMC Complementary Medicine and Therapies.2022;[Epub] CrossRef
Aromatherapy for dementia
Emily L Ball, Bethan Owen-Booth, Amy Gray, Susan D Shenkin, Jonathan Hewitt, Jenny McCleery
Cochrane Database of Systematic Reviews.2020;[Epub] CrossRef

Effects of Aroma Foot Bath on Urination Status and Stress related to Urination in Patients with Benign Prostatic Hyperplasia (BPH): Kye Ha Kim, Eun Ha; J Korean Acad Community Health Nurs. 2016;27(3):213-220. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.213

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Abstract PDF

PURPOSE
The purpose of this study is to evaluate effects of aroma foot bath on urination status (Prostatic Symptom and bother score due to urinary symptoms) and stress related to urination in patients with benign prostatic hyperplasia (BPH).
METHODS
This study consists of pre- and post-tests in a non-equivalent group design. The 52 BPH patients selected by random sampling in G City were assigned to two groups (experimental group=26, control group=26). Data of their general characteristics, urination status and stress related to urination were collected using self-reported questionnaires. Aroma Foot Bath was performed to the experimental group for 15-20 minutes every day for a week. Descriptive statistics and independent t-test were used for the analyses in this study with the SPSS/WIN 21.0 version program.
RESULTS
Prostatic symptom and bother score due to urinary symptoms in the experimental group were improved than those in the control group (t=-7.94, p<.001). Compared to the control group, the stress related to urination in the experimental group (t=-8.78, p<.001) was significantly reduced (t=-5.21, p<.001).
CONCLUSION
The results of this study indicate that aroma foot bath is effective in improving urination status and reducing stress related to urination in BPH patients.

Citations

Citations to this article as recorded by

Mal Olorand Colonial Latin American History: Smellscapes in Lima, Peru, 1535–1614
Kathleen Kole de Peralta
Hispanic American Historical Review.2019; 99(1): 1. CrossRef
Effect of near‐infrared rays on female menstrual pain in Korea
Jin‐min Lee, Kye‐ha Kim
Nursing & Health Sciences.2017; 19(3): 366. CrossRef

The Effects of Aromatherapy and Hand Massage on Anxiety, Sleep, and Depression in the Female Aged at Residential Facilities: Sung Mi Kim; J Korean Acad Community Health Nurs. 2009;20(4):493-502. Published online December 31, 2009

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Abstract PDF: PURPOSE
This study adopted the non-equivalent control group pre-posttest design in order to examine the effects of aromatherapy and hand massage on anxiety, sleep, and depression in the female aged at residential facilities.
METHODS
This study was executed with the female aged at two residential facilities divided into an experimental group (n=35) and a control group (n=37). Data were collected by checking changes in the anxiety, sleep, and depression of the subjects who had received aromatherapy and hand massage ten times for two weeks. The data were analyzed using Chi-square test and ANCOVA (Analysis of Covariance).
RESULTS
The condition of anxiety and depression of the experimental group who had received aromatherapy and hand massage was significantly lower than that of the control group. Also, the condition of sleep of experimental group was significantly higher than that of the control group.
CONCLUSION
The aromatherapy and hand massage program had a positive effect on institutionalized elders' anxiety, sleep, and depression pattern.

A Meta-Analysis of the Effects of Aromatherapy on Psychological Variables in Nursing: Kook He Roh, Hyeoun Ae Park; J Korean Acad Community Health Nurs. 2009;20(2):113-122. Published online June 30, 2009

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Abstract PDF: PURPOSE
The purpose of this study is to explore the effect of aromatherapy on anxiety, depression, and stress.
METHODS
Medical and nursing literature databases were searched to identify studies comparing aromatherapy with a control group.
RESULTS
Thirty-one studies published till September 2008 were included in the analysis. Twenty-two studies showed that aromatherapy generally had positive effects on the anxiety level (ES: 0.61). Thirteen studies showed that aromatherapy has significantly decreased the depression level (ES: 0.91). Seven studies showed that aromatherapy had positive effect on the stress level (ES: 0.78). Further analysis found that aromatherapy was more effective for normal population than for patients group with anxiety and stress. On the contrary, aromatherapy was more effective for patients group than for general population with depression.
CONCLUSION
Aromatherapy had positive effect on anxiety, depression and stress level. But there was no sufficient evidence to show the two different aromatherapy methods and two different period of aromatherapy had different effects due to small sample size and heterogeneity of sample. And it was needed to perform follow-up and further comparative studies.

The Effects of Aroma Inhalation on Nursing Students' Stress Response and Anxiety before Their First Clinical Practice: Hea Sook Lee; J Korean Acad Community Health Nurs. 2008;19(1):112-119. Published online March 31, 2008

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Abstract PDF: PURPOSE
The purpose of this study was to verify the effect of aroma inhalation on nursing students' stress responses and anxiety before their first clinical practice.
METHOD
Data were collected during the period from March 5 to March 10, 2007 at K College in a province. There were seventy eight subjects, 35 for the experimental group and 38 for the control group. Aroma oils used were lavender, peppermint and rosemary. Before and after the treatment, the severity of stress and anxiety were evaluated by VAS and a questionnaire. Data were analyzed by descriptive statistics, t-test and chi2-test with the SPSS program.
RESULT
The score of subjective stress (VAS) decreased significantly after aroma inhalation (p=.000), but status anxiety was not significantly different between the two groups (p=.649).
CONCLUSION
Aroma inhalation can be a useful intervention to reduce nursing student's stress before their first clinical practice.

The Effects of Aromatherapy on Depression, Sleep, Mood, and Smell in Stroke Patients and Their Caregivers: Soon Rim Suh, Ji Yeong Seo, Eun Hee Choi, Wan Ju Park; J Korean Acad Community Health Nurs. 2008;19(1):27-35. Published online March 31, 2008

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Abstract PDF: PURPOSE
The purpose of this study was to examine the effects of aroma-inhalation on depression, sleep, mood, and smell in stroke patients and their caregivers.
METHOD
This study employed one group pretest-posttest repeated design. Data were collected at three time points: baseline(pre-test), 10 days and 20 days after the intervention(post-test1 and post-test2, respectively). The sample included a total of 23 subjects. Data were analyzed by SPSS 12.0 program using repeated measure ANOVA.
RESULTS
Depression was not statistically significant difference among pre-test, post-test1 and post-test2. Sleep was improved after intervention: 37.61+/-7.41(pre-test), 41.22+/-8.26 (post-test1), 44.33+/-7.67(post-test2)(F=8.182, p=.001). Mood was significantly improved after intervention: 16.95+/-4.89(pre-test), 14.89+/-6.31 (post-test1), 12.11+/-5.04(post-test2). Smell including smell perception, discomfort due to smell and relation between age and smell was significantly improved after intervention: 2.63+/-1.20(pre-test). 2.00+/-1.16(post-test1), 1.63+/-.96(post-test2)(F=6.176, p=.006) in smell perception, 2.50+/-1.10 (pre-test). 1.81+/-.91(post-test1), 1.19+/-.40(post-test2) (F=12.26, p=.000) in discomfort due to smell and 3.53+/-1.18(pre-test). 2.59+/-1.46(post-test1), 2.53+/-1.33(post-test2)(F=4.148, p=.025) in relation between age and smell.
CONCLUSION
The results suggest that aroma-inhalation may have an effect on sleep, mood and smell and can be effective nursing intervention to increase the relaxation in stroke patients and their caregivers.

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